05D0917446 CLIA NUMBER - SERGIO R GOMEZ, MD, INC

Laboratory Demographics

CLIA Number: 05D0917446

Facility Name: SERGIO R GOMEZ, MD, INC

Facility Address:
2005 N GAREY AVE
POMONA, CA
ZIP 91767
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Facility Phone Number: 909 868-1620

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689720112

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0917446
LAB Type	Physician Office
Facility Name	SERGIO R GOMEZ, MD, INC
Street	2005 N GAREY AVE
City	POMONA
State	CA
ZIP	91767
Phone	909 868-1620
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024